Decision preparation, satisfaction and regret in a multi-center sample of men with newly diagnosed localized prostate cancer

Patient Educ Couns. 2012 Aug;88(2):262-7. doi: 10.1016/j.pec.2012.04.002. Epub 2012 May 17.

Abstract

Objective: To describe relationships between use of the Personal Patient Profile-Prostate (P3P) decision support system and patient characteristics, and perceived preparation for decision making (PrepDM), satisfaction and decisional regret in the context of prostate cancer treatment choice.

Methods: 494 men with localized prostate cancer (LPC) were randomized to receive the P3P intervention or usual care and completed pre-treatment, 1-month and 6-month outcome measures. Multivariable linear regression models were fit for each outcome.

Results: Physician consult visits prior to enrollment, race/ethnicity, and use of clinic-provided books were significant predictors of perceived PrepDM at 1 month. Prior Internet use and PrepDM significantly predicted 6-month decision satisfaction. Decisional regret was significantly predicted by demographics, anxiety, PrepDM score, and EPIC bowel domain score at 6 months. Use of P3P did not predict any outcome.

Conclusion: While the P3P intervention did not significantly affect the outcomes, pre-enrollment information and preparation were strong predictors of the 1- and 6-month outcomes. Decision regret was significantly influenced by personal characteristics and post-treatment symptoms/side effects.

Practice implications: Information received and used between biopsy and the treatment options consult visit is likely to make a difference in decision satisfaction.

Trial registration: ClinicalTrials.gov NCT00692653.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Decision Making*
  • Decision Support Systems, Clinical / statistics & numerical data
  • Emotions*
  • Humans
  • Internet
  • Logistic Models
  • Male
  • Middle Aged
  • Patient Participation
  • Patient Satisfaction*
  • Process Assessment, Health Care
  • Prospective Studies
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / psychology*
  • Prostatic Neoplasms / therapy
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • United States

Associated data

  • ClinicalTrials.gov/NCT00692653